National Provider Identifier [NPI]: |
1396958237 |
Last Name Of The Provider |
AYOUB |
First Name Of The Provider |
ROBBY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8201 NEWMAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTINGTON BEACH |
Zip Code Of The Provider |
926477043 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
8456 |
Number Of Medicare Beneficiaries |
780 |
Total Submitted Charge Amount |
2855476.29 |
Total Medicare Allowed Amount |
1052105.44 |
Total Medicare Payment Amount |
821068.34 |
Total Medicare Standardized Payment Amount |
761166.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
96.69 |
Total Drug Medicare PaymentAmount |
84.87 |
Total Drug Medicare Standardized Payment Amount |
84.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
8444 |
Number Of Medicare Beneficiaries With Medical Services |
780 |
Total Medical Submitted Charge Amount |
2854876.29 |
Total Medical Medicare Allowed Amount |
1052008.75 |
Total Medical Medicare Payment Amount |
820983.47 |
Total Medical Medicare Standardized Payment Amount |
761081.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
388 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
169 |
Number Of Hispanic Beneficiaries |
182 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
251 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
529 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
3.0883 |